Individual provider Active NPI

Stephen Edmund Solie, DDS

  • Pediatric Dentistry
  • Mankato, MN
National Provider Identifier
1285011965
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D13545 Issued in MN
Practice address
212 Star St
Mankato, MN 56001-4825
Phone
(507) 387-4078
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D13545 MN Primary

Addresses

Primary practice location

212 Star St
Mankato, MN 56001-4825

Mailing address

212 Star St
Mankato, MN 56001-4825
Phone (507) 387-4078

Other practice location 1

26 N Broadway St
New Ulm, MN 56073-1747
Phone (507) 354-8943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13545MNMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: ssolie@direct.ccprovider.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1285011965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 STAR ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014825",
            "telephone_number": "507-387-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STAR ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014825",
            "telephone_number": "507-387-4078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560731747",
            "country_code": "US",
            "telephone_number": "507-354-8943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIE",
        "first_name": "STEPHEN",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D13545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.